Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-10-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001360 DEA: 09374804 EFIS: 0918000020 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-115.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | BUILDING WORK AND PLACE HMA (TYPE A). |
| Location Description | INYO COUNTY IN BISHOP AT THE DISTRICT OFFICE AT 500 SOUTH MAIN STREET |
| QA Service Level | 1 (Verified on 07/09/2025) |
Sample Information
| Sample Taken Date | 06/10/2026 | Sample Unique Key | 18 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/22/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 3/8" X 120" Galv Anchor Bolts |
| The quantity of what the sample constitutes | 7 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | JAYCE | Last name of sampler or witnessed by | GROVES |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cordova Bolt Inc. Buena Park, CA. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM3 - Fastener Assembly | Rocap Number(s) | N/A |
|---|---|---|---|
| Heat Number(s) | 1000230099, 10855090, 22516570 | Nut Mfg. Lot Number(s) | 24-49-019 |
| Washer Mfg. Lot Number(s) | 417692 | Bolt Specification | F1554 |
| Bolt Length(s) | 120" | Nut Specification | A563 |
| Washer Specification | F436 | Finish | Galvanized |
| Diameter/Size | 3/8" | Bolt Mfg. Lot Number | 2508152-20A |
| Rocap Test Requirement(s) | No | Lubricant Requirements(s) | Yes |
| Washer Inner Diameter(s) | seven sixteen |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2026-06-10-18-1 | ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter) | Andrew Auvinen, CT HQ - Sacramento Structural Materials Testing Laboratory | 06/22/2026 | 06/22/2026 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-06-10-18-1 ASME B1.2-83r17